Epilepsy

Question 1

What is the differential for epilepsy?

Answer 1

Non-epileptic attack disorder
Panic attacks
Hypoglycaemia 
Schizophrenia 
In children also consider temper tantrums and nightmares

Question 2

What are some complications of epilepsy?

Answer 2

Anxiety
Depressive disorders
Suicide risk increased 5x

Question 3

What is non-epileptic attack disorder?

Answer 3

Events resembling an epileptic seizure, but without the characteristic electrical discharges

Question 4

What is the cause of NEAD?

Answer 4

Functional/nothing organic

Childhood trauma

Question 5

What are some symptoms of NEAD?

Answer 5

Seizures- generally grand mal but less severe
Loss of consciousness
Incontinence

Question 6

How do NEAD seizures differ to epileptic seizures?

Answer 6

Less severe

Question 7

What treatment doesn’t work in NEAD?

Answer 7

Antiepileptics

Question 8

How do you treat NEAD?

Answer 8

Psychotherapy- CBT